Evaluation of Postoperative Pain and Bacterial Load Reduction With ProTaper Ultimate Versus ProTaper Gold Rotary Systems

Cairo University (CU)

Status

Unknown

Conditions

Post Operative Pain

Treatments

Other: Instrument Design

Study type

Interventional

Funder types

Other

Identifiers

NCT05305742

ENDO3-3-5

Details and patient eligibility

About

This study aims to research the effect of different instrument designs by comparing protaper ultimate versus protaper gold systems on root canal preparation by evaluating bacterial count reduction and post-operative pain following single visit treatment in patients with necrotic pulp in maxillary premolar teeth.

Enrollment

56 estimated patients

Sex

All

Ages

22 to 45 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Patient's age ranges between 22 to 45 years with no sex predilection.
Medically free patients.
Maxillary permanent premolar teeth:
- Diagnosed clinically with pulp necrosis.
- Absence of pain.
- Radiographic evidence of two roots or single root with double canals.
- Slight widening in the periodontal membrane space or with peri-apical radiolucency
- No response to cold pulp tester and ethyl chloride spray.
Patients who can understand Modified Visual Analogue Scale (VAS).
Patients' acceptance to participate in the trial.

Exclusion criteria

Medically compromised patients.
Pregnant women.
If analgesics or antibiotics have been administrated by the patient during the past 24 hours preoperatively.
Patients reporting bruxism or clenching.
Teeth with:

i. Vital teeth. ii. Single canal maxillary premolar teeth iii. Association with swelling or fistulous tract. iv. Acute peri-apical abscess and swelling. v. Mobility Grade II or III. vi. Pocket depth more than 5mm. vii. Previous root canal therapy. viii. Non-restorable teeth: Hopeless tooth
Immature teeth.
Radiographic evidence of external or internal root resorption vertical root fracture, perforation, calcification, root caries.